Clinical Practice Guidelines

UNC Stroke Center CPGs


Acute Ischemic Stroke

  1. Guidelines for the early management of patients with acute ischemic stroke:  A guideline for healthcare professionals from the American Heart Association/American Stroke Association.  Jauch, EC, Saver, JL, Adams, HP et. al. Stroke. 2013; 44: 870-947.

  2. 2015 AHA/ASA focused updated of the 2013 guidelines for the early management of patients with acute ischemic stroke regarding endovascular treatment: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Powers, WJ, Derdeyn, CP, Piller, Jose et. al. Stroke.  2015 June 15. 

  3. Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association http://stroke.ahajournals.org/content/early/2015/12/22/STR.0000000000000086.full.pdf+html

  4. Expansion of the Time Window for Treatment of Acute Ischemic Stroke With Intravenous Tissue Plasminogen Activator. A Science Advisory From the American Heart Association/American Stroke Association.  Del Zoppo GJ, Saver JL, Jauch EC, Adams HP Jr; on behalf of the American Heart Association Stroke Council. Stroke. 2009 May 28.

Hemorrhagic Stroke

  1. Guidelines for the management of spontaneous intracerebral hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Hemphill, JC, Greenbert, SM, Anderson, CS et. al. Stroke.  2015; 46: 2032-2060.

  2. Guidelines for the management of Aneurysmal Subarachnoid Hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Connolly, E, Rabinstein, AA, Carhuapoma, JR et. al.  Stroke.  2012; 43; 1711-1737.

  3. Critical care management of patients following aneurysmal subarachnoid hemorrhage: Recommendations from the Neurocritical Care Society’s multidisciplinary consensus conference. Diringer, MN, Bleck, TP, Hemphill, JC et. al. Neurocritical Care. 2011

Transient Ischemic Attack

  1. Definition and evaluation of transient ischemic attack: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association Stroke Council. Easton JD, Saver JL, Albers GW, Alberts MJ, et al. Stroke. 2009 Jun;40(6):2276-93.

Cerebral Venous Thrombosis

  1. Recommendations for the management of cerebral and cerebellar infarction with swelling: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Wijdicks, EF, Sheth, KN, Carter, BS et. al. 2014 April 1.

 Prevention

  1. Guidelines for the primary prevention of stroke. Meschia, JF, Bushnell, C, Boden-Albala, B et. al. Stroke. 2014; 45:3754-3832.

  2. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack.  Kernan, WN, Ovbiagele, B, Black, HR et. al. Stroke. 2014; 45: 2160-2236.

  3. 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. January, CT, Wann, S, Alpert, JS et. al. Circulation. 2014 December 2.

Cerebral Edema

  1. Recommendations for the management of cerebral and cerebellar infarction with swelling: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Wijdicks, EF, Sheth, KN, Carter, BS et. al. 2014 April 1.

 Nursing

  1. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: A Scientific Statement From the American Heart Association. Miller, EL, Murray, L, Richards, L et. al.  Stroke.  2010.  41:2402-2448.

Rehabilitation

  1. Guidelines for Adult Stroke Rehabilitation and Recovery A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association http://stroke.ahajournals.org/content/early/2016/05/04/STR.0000000000000098.full.pdf+html

Palliative Care

  1. Palliative and end-of-life care in stroke: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Holloway, RG, Arnold, RM, Creutzfeldt, CJ et al. Stroke. 2014 June 1.


Other Guidelines and Resources

www.americanheart.org

AAN Guidelines For Stroke

Clinical Performance Measures for Adults Hospitalized with Acute Ischemic Stroke


Stroke Assessment Tools

NIH Stroke Scale

Modified Rankin Scale